Organization Name: | EDGERTON HOSPITAL AND HEALTH SERVICES |
NPI Number: | 1154350049 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES H ROEDER (CFO) |
Mailing Address: | 11101 N Sherman Rd Edgerton |
State: | WI US |
Postal Code: | 535349002 |
Phone Number: | 6088843441 |
Fax Number: | 6088841669 |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 1022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |